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Name

Address

City

State

Home Phone

Work Phone

Pager/Cellular

Email

Education (highest level completed)

Current/Most Recent Salary (per year)

Bonus or Commission (if applicable)

Next Review Date

Current/Most RecentEmployer

Current/Most Recent Title

Employer's Products or Services

What is motivating your decision to leave your current job?

Describe your search activity over the past 3 to 6 months.Please include any information about interview and/or offers you have had, as well as the types of positions, etc.

Describe in detail what you would be doing in your ideal next position. What technology would you work with (e.g. injection, blow, extrusion,or CAD systems, etc.)? Whou would you report to? What types of projects woudl you be working on. (The more detail you provide, the better for us to understand your career aspirations.)

Where can you relocate to geographically?

Do you expect a counter-offer from your current employer?

Have you ever received a counter-offer?

Did you accept it or turn it down (if applicable)?

Why (if applicable)?

Professional References